Use of a Buccal Mucosa Graft for Bilateral Ejinell’s Laterofixation of the Vocal Fold to Successfully Treat Posterior Glottic Stenosis

Abstract

Posterior glottic, subglottic and tracheal stenoses are uncommon delayed complications of burn and inhalation injury. The treatment varies based on the individual severity, but some patients need permanent tracheostomy. A 38-year-old-man with a tracheostomy after burn and inhalation injury four years ago had undergone Ejinell’s laterofixation three times. He still had narrowing of the airway due to bilateral vocal fold immobility. We diagnosed the immobility as having caused the posterior glottic stenosis. Bilateral Ejinell’s laterofixation was performed, and the buccal mucosa was grafted to avoid scarring. The patient successfully underwent decannulation.